ES2614880T3 - HER2 DNA vaccine as an auxiliary treatment for cancers in pets - Google Patents
HER2 DNA vaccine as an auxiliary treatment for cancers in pets Download PDFInfo
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- ES2614880T3 ES2614880T3 ES11770986.5T ES11770986T ES2614880T3 ES 2614880 T3 ES2614880 T3 ES 2614880T3 ES 11770986 T ES11770986 T ES 11770986T ES 2614880 T3 ES2614880 T3 ES 2614880T3
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P15/00—Drugs for genital or sexual disorders; Contraceptives
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/0005—Vertebrate antigens
- A61K39/0011—Cancer antigens
- A61K39/001102—Receptors, cell surface antigens or cell surface determinants
- A61K39/001103—Receptors for growth factors
- A61K39/001106—Her-2/neu/ErbB2, Her-3/ErbB3 or Her 4/ErbB4
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
- A61P37/02—Immunomodulators
- A61P37/04—Immunostimulants
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/51—Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
- A61K2039/53—DNA (RNA) vaccination
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/545—Medicinal preparations containing antigens or antibodies characterised by the dose, timing or administration schedule
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K48/00—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
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- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Immunology (AREA)
- Veterinary Medicine (AREA)
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- Public Health (AREA)
- Pharmacology & Pharmacy (AREA)
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- Cell Biology (AREA)
- Engineering & Computer Science (AREA)
- Endocrinology (AREA)
- Reproductive Health (AREA)
- Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
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Abstract
Un antígeno Her2/neu xenogénico que es xenogénico de un antígeno Her2/neu expresado por células mamarias de un perro, para uso en el tratamiento de carcinoma/tumor mamario canino en un perro que padece carcinoma/tumor mamario canino, donde el antígeno Her2/neu xenogénico está en una cantidad inmunológicamente eficaz y el antígeno Her2/neu xenogénico se administra después de la retirada quirúrgica de tumores en sujetos que padecen dichos cánceres, y donde el antígeno Her2/neu asociado a tumor de glándula mamaria xenogénico es un vector que comprende una secuencia de ADN que codifica el antígeno Her2/neu asociado a tumor de glándula mamaria terapéutico xenogénico bajo el control de un promotor que promueve la expresión del antígeno Her2/neu asociado a tumor de glándula mamaria en perro.A xenogenic Her2 / neu antigen that is xenogenic of a Her2 / neu antigen expressed by mammary cells of a dog, for use in the treatment of canine mammary carcinoma / tumor in a dog suffering from canine mammary carcinoma / tumor, where the Her2 / antigen neu xenogeneic is in an immunologically effective amount and the Her2 / neu xenogenic antigen is administered after surgical removal of tumors in subjects suffering from such cancers, and where the Her2 / neu antigen associated with xenogenic mammary gland tumor is a vector comprising a DNA sequence encoding the Her2 / neu antigen associated with xenogenic therapeutic mammary gland tumor under the control of a promoter that promotes the expression of the Her2 / neu antigen associated with a mammary gland tumor in dogs.
Description
DESCRIPCIONDESCRIPTION
Vacuna de ADN de HER2 como tratamiento auxiliar para canceres en animales de companla 5 ANTECEDENTES DE LA INVENCIONHER2 DNA vaccine as an auxiliary treatment for cancers in companion animals 5 BACKGROUND OF THE INVENTION
[0001] Esta solicitud se refiere a composiciones para el tratamiento de la diferenciacion de canceres dependientes de antlgeno y a procedimientos de uso de dichas composiciones. La invencion utiliza composiciones que contienen antlgenos de diferenciacion xenogenica que estan asociados a canceres para proporcionar una[0001] This application relates to compositions for the treatment of differentiation of antigen-dependent cancers and to methods of using said compositions. The invention uses compositions containing xenogenic differentiation antigens that are associated with cancers to provide a
10 terapia eficaz.10 effective therapy.
[0002] Los antlgenos de diferenciacion son antlgenos especlficos de tejido que son compartidos por tumores autologos y algunos alogenicos de derivacion similar y en contrapartidas de tejido normal en la misma etapa de diferenciacion. Se ha mostrado que los antlgenos de diferenciacion se expresan por una variedad de tipos[0002] Differentiation antigens are tissue-specific antigens that are shared by autologous and some allogeneic tumors of similar derivation and in counterparts of normal tissue at the same stage of differentiation. It has been shown that differentiation antigens are expressed by a variety of types
15 tumorales, incluyendo melanoma, leucemia, linfomas, carcinoma colorrectal, carcinoma de mama, carcinoma de prostata, carcinoma de ovario, carcinomas de pancreas y canceres de pulmon. Por ejemplo, los antlgenos de diferenciacion expresados por celulas de melanoma incluyen Melan-A/MART-1, Pmell7, tirosinasa y gp75. El antlgeno de diferenciacion expresado por linfomas y leucemia incluye los marcadores de diferenciacion de linfocitos B CD 19 y CD20/CD20 B. Es un ejemplo de un antlgeno de diferenciacion expresado por carcinoma colorrectal, 20 carcinoma de mama, carcinoma de pancreas, carcinoma de prostata, carcinoma de ovario y carcinoma de pulmon el polipeptido de mucina muc-1. Es un antlgeno de diferenciacion expresado, por ejemplo, por carcinoma de mama Her2 (sinonimos: Her2/neu, ECBB2, ErbB2, c-erb-2), que es un gen que codifica un receptor tirosina cinasa que es un miembro de la familia de receptores de factor de crecimiento epidermico (De Maria y col., 2005). Se ha demostrado sobreexpresion de Her2 en tumores de glandula mamaria tanto en gato (Winston y col., 2005) como en 25 perro (Rungsipipat y col., 2008). Winston y col. (2005) usaron procedimientos de ensayo existentes (HERcEpTEsT™, Dako USA, Carpinteria, CA; NCL-CB11, Novocastra, Newcastle, RU) para graduar exitosamente los niveles de expresion de Her2 en tumores mamarios de felino como 0= mlnimo/ausente, 1= debil, 2= moderado o 3= intenso. Los ensayos HERCEPTEST™ y NCL-CB11 identificaron a 27 y 23 gatos respectivamente, de los 30 examinados, por tener un grado 2 o 3 de expresion de Her2 en muestras de tumor mamario.15 tumors, including melanoma, leukemia, lymphomas, colorectal carcinoma, breast carcinoma, prostate carcinoma, ovarian carcinoma, pancreatic carcinomas and lung cancers. For example, differentiation antigens expressed by melanoma cells include Melan-A / MART-1, Pmell7, tyrosinase and gp75. The differentiation antigen expressed by lymphomas and leukemia includes the differentiation markers of B lymphocytes CD 19 and CD20 / CD20 B. It is an example of a differentiation antigen expressed by colorectal carcinoma, breast carcinoma, pancreatic carcinoma, prostate carcinoma , ovarian carcinoma and lung carcinoma the mucin-1 mucin polypeptide. It is a differentiation antigen expressed, for example, by Her2 breast carcinoma (synonymous: Her2 / neu, ECBB2, ErbB2, c-erb-2), which is a gene that encodes a tyrosine kinase receptor that is a member of the family of epidermal growth factor receptors (De Maria et al., 2005). Her2 overexpression has been demonstrated in mammary gland tumors both in cats (Winston et al., 2005) and in dogs (Rungsipipat et al., 2008). Winston et al. (2005) used existing test procedures (HERcEpTEsT ™, Dako USA, Carpinteria, CA; NCL-CB11, Novocastra, Newcastle, UK) to successfully graduate Her2 expression levels in feline breast tumors as 0 = minimum / absent, 1 = weak, 2 = moderate or 3 = intense. The HERCEPTEST ™ and NCL-CB11 trials identified 27 and 23 cats respectively, of the 30 examined, for having a 2 or 3 degree of Her2 expression in breast tumor samples.
3030
[0003] Ademas de graduar exitosamente los niveles de sobreexpresion de Her2 en tumores mamarios de felino, Winston y col. (2005) usaron HERCEPTEST™ para detectar bajos niveles de expresion de Her2 en tejidos epiteliales felinos normales y en tipos de celulas que incluyen: follculo piloso, glandula mamaria, foveola gastrica, conducto de glandula salival, tubulos corticales y medulares renales, cripta colonica y del intestino delgado, cerebro,[0003] In addition to successfully graduating Her2 overexpression levels in mammary tumors of feline, Winston et al. (2005) used HERCEPTEST ™ to detect low levels of Her2 expression in normal feline epithelial tissues and cell types that include: hair follicle, mammary gland, gastric foveola, salivary gland duct, renal cortical and medullary tubules, colon crypt and of the small intestine, brain,
35 conducto e islotes pancreaticos, macrofagos esplenicos, corteza suprarrenal, hepatocitos y celulas de Leydig testiculares. Se ha documentado la expresion de Her2 en una serie de tipos de celulas epiteliales humanas incluyendo gastrointestinales, respiratorias, reproductivas, urinarias, cutaneas, mamarias y placentarias (Press y col., 1990). Estos hallazgos indican que la expresion de Her2 es comun en una serie de tipos de tejido de seres humanos y gatos. El hallazgo de la sobreexpresion de Her2 en tumores mamarios de perro sugiere que esta especie 40 compartirla caracterlsticas de expresion identificadas en seres humanos y gatos. Los ensayos y reactivos existentes pueden servir como herramientas para cribar los niveles de expresion de Her2 en canceres de animal de companla para justificar el tratamiento con la vacuna del cancer de Her2.35 duct and pancreatic islets, splenic macrophages, adrenal cortex, hepatocytes and testicular Leydig cells. The expression of Her2 has been documented in a number of human epithelial cell types including gastrointestinal, respiratory, reproductive, urinary, cutaneous, mammary and placental (Press et al., 1990). These findings indicate that Her2 expression is common in a number of tissue types of humans and cats. The finding of Her2 overexpression in dog mammary tumors suggests that this species 40 share the expression characteristics identified in humans and cats. Existing assays and reagents can serve as tools to screen Her2 expression levels in companion animal cancers to justify treatment with Her2's cancer vaccine.
[0004] Desgraciadamente, en la mayorla de casos, el sistema inmunitario del individuo es tolerante a dichos 45 antlgenos de diferenciacion y no consigue crear una repuesta inmunitaria eficaz. Se han considerado varias[0004] Unfortunately, in most cases, the individual's immune system is tolerant of said differentiation antigens and fails to create an effective immune response. Several have been considered
tecnologlas para enfrentarse a este reto: (citocinas como coadyuvantes geneticos (Chang y col., 2004), vacunacion xenogenica (Pupa y col., 2005), electrotransferencia (Quaglino y col., 2004), combinacion con quimioterapia (Bernhardt y col., 2002). Aunque los resultados son esperanzadores, se requerirla mayor eficacia para que estos enfoques fueran considerados un componente clave de una estrategia terapeutica. Ademas, hallazgos recientes 50 indican que se requieren tanto inmunidad de anticuerpo como mediada por celula para la erradicacion tumoral despues de inmunizacion, lo que explica quizas la falta de exito en el campo (Orlandi y col., 2007). Por lo tanto, para el tratamiento de canceres donde el tumor expresa antlgenos de diferenciacion, serla deseable tener un procedimiento de estimulacion de una respuesta inmunitaria terapeuticamente eficaz contra el antlgeno de diferenciacion in vivo. Es un objeto de la presente invencion proporcionar dicho procedimiento.technologies to meet this challenge: (cytokines as genetic adjuvants (Chang et al., 2004), xenogenic vaccination (Pupa et al., 2005), electrotransfer (Quaglino et al., 2004), combination with chemotherapy (Bernhardt et al. , 2002) Although the results are encouraging, greater efficiency would be required for these approaches to be considered a key component of a therapeutic strategy.In addition, recent findings 50 indicate that both antibody and cell-mediated immunity are required for tumor eradication after of immunization, which perhaps explains the lack of success in the field (Orlandi et al., 2007) Therefore, for the treatment of cancers where the tumor expresses differentiation antigens, it would be desirable to have a response stimulation procedure Therapeutically effective immune system against differentiation antigen in vivo It is an object of the present invention to provide such a method.
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RESUMEN DE LA INVENCIONSUMMARY OF THE INVENTION
[0006] Se ha encontrado ahora que puede superarse la tolerancia del sistema inmunitario por antlgenos de 20 diferenciacion diana autoderivados y estimularse una respuesta inmunitaria mediante la administracion de un[0006] It has now been found that the tolerance of the immune system by self-derived target differentiation antigens can be overcome and an immune response stimulated by the administration of a
antlgeno de diferenciacion xenogenico (de tipo silvestre o mutante) del mismo tipo de una especie diferente del sujeto que se esta tratando (documentos 6.328.969 y US 7.556.805 de Sloan-Kettering).xenogenic differentiation antigen (wild or mutant type) of the same type of a different species from the subject being treated (documents 6,328,969 and US 7,556,805 Sloan-Kettering).
[0007] Por ejemplo, puede usarse un antlgeno de diferenciacion de rata para estimular una respuesta 25 inmunitaria en el correspondiente antlgeno de diferenciacion en un sujeto canino. La administracion de antlgenos[0007] For example, a rat differentiation antigen can be used to stimulate an immune response in the corresponding differentiation antigen in a canine subject. The administration of antigens
alterados de acuerdo con la invencion da como resultado una inmunidad eficaz contra el antlgeno original expresado por el cancer en el sujeto tratado. Por tanto, de acuerdo con un primer aspecto de la invencion, se proporciona un antlgeno Her2/neu xenogenico que es xenogenico de un antlgeno Her2/neu expresado por celulas mamarias de perro, para uso en el tratamiento de carcinoma/tumor mamario canino en un perro que padece carcinoma/tumor 30 mamario canino, en el que el antlgeno Her2/neu xenogenico esta en una cantidad inmunologica eficaz y el antlgeno Her2/neu xenogenico se administra despues de la retirada quirurgica de tumores en sujetos que padecen dichos canceres, y en el que el antlgeno Her2/neu asociado a tumor de glandula mamaria xenogenico es un vector que comprende una secuencia de ADN que codifica el antlgeno Her2/neu asociado a tumor de glandula mamaria terapeutico xenogenico bajo el control de un promotor que promueve la expresion del antlgeno Her2/neu asociado a 35 tumor de glandula mamaria en el perro. Se proporciona tambien un antlgeno Her2/neu xenogenico que es xenogenico de un antlgeno Her2/neu expresado por celulas de glandula mamaria de perro, para uso en el tratamiento de tumor de glandula mamaria canina en un perro que padece carcinoma/tumor de glandula mamaria canina, en el que el antlgeno Her2/neu asociado a carcinoma/tumor de glandula mamaria xenogenico es un vector que comprende una secuencia de ADN que codifica el antlgeno Her2/neu asociado a carcinoma/tumor de glandula 40 mamaria terapeutico xenogenico bajo el control de un promotor que promueve la expresion del antlgeno Her2/neu asociado a tumor de glandula mamaria xenogenico en perro, y en el que el vector tiene una secuencia que comprende 106-3885 de la secuencia expuesta en la SEQ ID NO:1 y el antlgeno Her2/neu xenogenico se administra despues de la retirada quirurgica de tumores en sujetos que padecen dichos canceres. Se proporciona ademas un vector que es capaz de expresar in vivo en un canino la protelna expuesta en la SEQ ID NO:2 para uso en el 45 tratamiento de carcinoma/tumores mamarios caninos en un perro que padece carcinoma/tumor mamario canino, en el que el carcinoma/tumor mamario canino es un carcinoma/tumor mamario canino asociado a Her2/neu, en el que el vector se administra despues de la retirada quirurgica de tumores en sujetos que padecen dichos canceres. Se proporciona ademas el uso de un antlgeno Her2/neu xenogenico que es xenogenico de un antlgeno Her2/neu expresado por celulas mamarias de perro, para la fabricacion de un medicamento para el tratamiento de 50 carcinoma/tumor mamario canino en un perro que padece carcinoma/tumor mamario canino, en el que el antlgeno Her2/neu xenogenico esta en una cantidad inmunologica eficaz y el antlgeno Her2/neu xenogenico se administra despues de la retirada quirurgica de tumores en sujetos que padecen dichos canceres, y en el que el antlgeno Her2/neu asociado a tumor de glandula mamaria xenogenico es un vector que comprende una secuencia de ADN que codifica el antlgeno Her2/neu asociado a tumor de glandula mamaria terapeutico xenogenico bajo el control de 55 un promotor que promueve la expresion del antlgeno Her2/neu asociado a tumor de glandula mamaria en perro. Como aspecto adicional, se proporciona el uso de un antlgeno Her2/neu xenogenico que es xengenico de un antlgeno Her2/neu expresado por celulas de glandula mamaria de perro, para la fabricacion de un medicamento para el tratamiento de tumor de glandula mamaria canina en un perro que padece carcinoma/tumor de glandula mamaria canina, en el que el antlgeno Her2/neu asociado a carcinoma/tumor de glandula mamaria xenogenico es 60 un vector que comprende una secuencia de ADN que codifica el antlgeno Her2/neu asociado a carcinoma/tumor de glandula mamaria terapeutico xenogenico bajo el control de un promotor que promueve la expresion del antlgeno Her2/neu asociado a tumor de glandula mamaria xenogenico en perro, y en el que el vector tiene una secuencia quealtered according to the invention results in an effective immunity against the original antigen expressed by the cancer in the treated subject. Therefore, according to a first aspect of the invention, a Her2 / neu xenogenic antigen is provided that is xenogenic of a Her2 / neu antigen expressed by dog mammary cells, for use in the treatment of canine carcinoma / breast tumor in a dog suffering from canine mammary carcinoma / tumor 30, in which the Her2 / neu xenogenic antigen is in an effective immunological amount and the Her2 / neu xenogenic antigen is administered after the surgical removal of tumors in subjects suffering from such cancers, and in that the Her2 / neu antigen associated with xenogenic mammary gland tumor is a vector comprising a DNA sequence encoding the Her2 / neu antigen associated with xenogenic therapeutic mammary gland tumor under the control of a promoter that promotes antigen expression Her2 / neu associated with 35 mammary gland tumor in the dog. There is also provided a xenogenic Her2 / neu antigen that is xenogenic of a Her2 / neu antigen expressed by dog mammary gland cells, for use in the treatment of canine mammary gland tumor in a dog suffering from canine mammary gland carcinoma / tumor , in which the Her2 / neu antigen associated with xenogenic mammary gland carcinoma / tumor is a vector comprising a DNA sequence encoding the Her2 / neu antigen associated with xenogenic therapeutic mammary mammary carcinoma / gland tumor under the control of a promoter that promotes the expression of the Her2 / neu antigen associated with xenogenic mammary gland tumor in dogs, and in which the vector has a sequence comprising 106-3885 of the sequence set forth in SEQ ID NO: 1 and the Her2 / antigen Neu xenogenico is administered after surgical removal of tumors in subjects suffering from such cancers. A vector is also provided which is capable of expressing in vivo in a canine the protein shown in SEQ ID NO: 2 for use in the treatment of canine carcinoma / mammary tumors in a dog suffering from canine carcinoma / mammary tumor, in the dog. that the canine mammary carcinoma / tumor is a canine mammary carcinoma / tumor associated with Her2 / neu, in which the vector is administered after the surgical removal of tumors in subjects suffering from such cancers. The use of a xenogenic Her2 / neu antigen that is xenogenic of a Her2 / neu antigen expressed by dog mammary cells is also provided for the manufacture of a medicament for the treatment of canine carcinoma / breast tumor in a dog suffering from carcinoma. / canine mammary tumor, in which the Her2 / neu xenogenic antigen is in an effective immunological amount and the Her2 / neu xenogenic antigen is administered after the surgical removal of tumors in subjects suffering from such cancers, and in which the Her2 antigen / neu associated with xenogenic mammary gland tumor is a vector comprising a DNA sequence encoding the Her2 / neu antigen associated with xenogenic therapeutic mammary gland tumor under the control of a promoter that promotes the expression of the associated Her2 / neu antigen a mammary gland tumor in dogs. As an additional aspect, the use of a xenogenic Her2 / neu antigen that is xengenic of a Her2 / neu antigen expressed by dog mammary gland cells is provided for the manufacture of a medicament for the treatment of canine mammary gland tumor in a dog suffering from canine mammary gland carcinoma / tumor, in which the Her2 / neu antigen associated with xenogenic mammary gland carcinoma / tumor is a vector that comprises a DNA sequence encoding the carcinoma / tumor associated Her2 / neu antigen of xenogenic therapeutic mammary gland under the control of a promoter that promotes the expression of the Her2 / neu antigen associated with xenogenic mammary gland tumor in dogs, and in which the vector has a sequence that
comprende 106-3885 de la secuencia expuesta en la SEQ ID NO:1 y el antlgeno Her2/neu xenogenico se administra despues de la retirada quirurgica de tumores en sujetos que padecen dichos canceres. Se define el alcance de la presente invencion por las reivindicaciones. La materia en cuestion fuera del alcance de las reivindicaciones es solo para informacion.It comprises 106-3885 of the sequence set forth in SEQ ID NO: 1 and the Her2 / neu xenogenic antigen is administered after surgical removal of tumors in subjects suffering from such cancers. The scope of the present invention is defined by the claims. The subject matter outside the scope of the claims is for information only.
55
[0008] Se usan antlgenos de diferenciacion terapeuticos basados en antlgenos de diferenciacion asociados a carcinoma/tumor de glandula mamaria de acuerdo con la invencion para tratar, por ejemplo, carcinoma de glandula mamaria despues de la retirada quirurgica de tumores en sujetos que padecen dichos canceres. En una realization de la invencion, se administra a un sujeto un plasmido que comprende una secuencia que codifica un receptor[0008] Therapeutic differentiation antigens based on differentiation antigens associated with carcinoma / tumor of mammary gland according to the invention are used to treat, for example, mammary gland carcinoma after surgical removal of tumors in subjects suffering from such cancers. . In one embodiment of the invention, a plasmid comprising a sequence encoding a receptor is administered to a subject.
10 tirosina cinasa xenogenico, por ejemplo receptor tirosina cinasa de rata, bajo el control de un promotor adecuado. Por ejemplo, se han tratado perros usando plasmidos que comprenden una secuencia de ADN que codifica el receptor tirosina cinasa de rata con un beneficio cllnico pronunciado.Xenogenic tyrosine kinase, for example rat tyrosine kinase receptor, under the control of a suitable promoter. For example, dogs have been treated using plasmids comprising a DNA sequence encoding the rat tyrosine kinase receptor with a pronounced clinical benefit.
BREVE DESCRIPCION DE LOS DIBUJOSBRIEF DESCRIPTION OF THE DRAWINGS
15fifteen
[0009][0009]
La FIG. 1A muestra el tiempo de supervivencia global despues de inmunizacion y resection quirurgica del MGT; la FIG. 1B muestra el tiempo de supervivencia libre de enfermedad despues de inmunizacion y reseccion quirurgica 20 del MGT;FIG. 1A shows the overall survival time after immunization and surgical resection of MGT; FIG. 1B shows the disease-free survival time after immunization and surgical resection 20 of the MGT;
la FIG. 1C muestra el tiempo de supervivencia libre de metastasis despues de inmunizacion y reseccion quirurgica del MGT;FIG. 1C shows metastasis-free survival time after immunization and surgical resection of MGT;
la FIG. 2 muestra un mapa del plasmido pcDNA3.1 (+/-);FIG. 2 shows a map of plasmid pcDNA3.1 (+/-);
la FIG. 3 muestra un mapa y la secuencia del plasmido pING-tirosinasa humana, en que se ha retirado la secuencia 25 de codification de tirosina humana. Es aqul donde se inserto Her2/neu de rata (nucleotidos 17-3799 de la SEQ ID NO: 1) para producir rHer2/neu-pING de la presente invencion.FIG. 3 shows a map and the sequence of the human pING-tyrosinase plasmid, in which the human tyrosine coding sequence 25 has been removed. This is where rat Her2 / neu (nucleotides 17-3799 of SEQ ID NO: 1) was inserted to produce rHer2 / neu-pING of the present invention.
DESCRIPCION DETALLADA DE LA INVENCIONDETAILED DESCRIPTION OF THE INVENTION
30 [0010] La presente invencion proporciona un procedimiento para tratar tumores de glandula mamaria en un[0010] The present invention provides a method for treating mammary gland tumors in a
sujeto mediante la estimulacion de una respuesta inmunitaria ante un antlgeno de diferenciacion asociado a glandula mamaria. El sujeto es preferiblemente canino o felino, aunque la invencion puede aplicarse a otras especies animales, preferiblemente especies de mamlferos o aves tambien.subject by stimulating an immune response to a differentiation antigen associated with mammary gland. The subject is preferably canine or feline, although the invention can be applied to other animal species, preferably mammalian or bird species as well.
35 [0011] Como se usa en la memoria descriptiva y reivindicaciones de esta solicitud, el termino “respuesta[0011] As used in the specification and claims of this application, the term "response
inmunitaria” engloba tanto respuestas inmunitarias celulares como humorales. Preferiblemente, la respuesta inmunitaria es suficiente para proporcionar inmunoproteccion frente al crecimiento de tumores que expresan el antlgeno de diferenciacion diana. El termino “estimula” hace referencia a la estimulacion inicial de una nueva respuesta inmunitaria o a la potenciacion de una respuesta inmunitaria preexistente.immune ”encompasses both cellular and humoral immune responses. Preferably, the immune response is sufficient to provide immunoprotection against the growth of tumors that express the target differentiation antigen. The term "stimulates" refers to the initial stimulation of a new immune response or the potentiation of a pre-existing immune response.
4040
[0012] De acuerdo con la invencion, se trata un sujeto mediante la administration de un antlgeno de diferenciacion xenogenico del mismo tipo que un antlgeno de diferenciacion diana expresado por celulas de tumor de glandula mamaria del sujeto en una cantidad eficaz para estimular una respuesta inmunitaria. Por tanto, el antlgeno de diferenciacion diana es el antlgeno Her2/neu encontrado en celulas mamarias, y el antlgeno terapeutico[0012] According to the invention, a subject is treated by administering a xenogenic differentiation antigen of the same type as a target differentiation antigen expressed by mammary gland tumor cells of the subject in an amount effective to stimulate an immune response. . Therefore, the target differentiation antigen is the Her2 / neu antigen found in breast cells, and the therapeutic antigen
45 es un antlgeno Her2/neu xenogenico.45 is a Her2 / neu xenogenic antigen.
[0013] En una realizacion, el uso de la invencion puede incluir las siguientes etapas: (1) inmunizacion de un animal necesitado de un antlgeno xenogenico, por ejemplo Her2/neu de rata expuesto en la SEQ ID NO:2 y codificado por los nucleotidos 106-3885 de la secuencia expuesta en la SEQ ID NO:1, (2) sensibilization sin aguja[0013] In one embodiment, the use of the invention may include the following steps: (1) immunization of an animal in need of a xenogenic antigen, for example rat Her2 / neu exposed in SEQ ID NO: 2 and encoded by nucleotides 106-3885 of the sequence set forth in SEQ ID NO: 1, (2) needleless sensitization
50 de respuestas inmunitarias, (3) recuerdo basado en electrotransferencia y (4) vacunacion despues de citorreduccion tumoral por terapia primaria quirurgica.50 of immune responses, (3) electrotransfer-based recall and (4) vaccination after tumor cytoreduction by primary surgical therapy.
[0014] En otra realizacion, se lleva a cabo el uso de la invencion en sujetos, incluyendo animales de companla, sin metastasis (concretamente, en etapas relativamente tempranas de la progresion de la enfermedad[0014] In another embodiment, the use of the invention is carried out in subjects, including companion animals, without metastases (specifically, in relatively early stages of disease progression
55 carcinoma mamario).55 breast carcinoma).
[0015] En algunas realizaciones, el recuerdo comprende administrar plasmidos que codifican antlgenos xenogenicos, por ejemplo aquellos que codifican la protelna Her2 de rata (SEQ ID NO:2).[0015] In some embodiments, the memory comprises administering plasmids encoding xenogenic antigens, for example those encoding rat Her2 protein (SEQ ID NO: 2).
60 [0016] En algunas realizaciones, el antlgeno xenogenico esta codificado por un nucleotido que tiene[0016] In some embodiments, the xenogenic antigen is encoded by a nucleotide that has
sustituciones nucleotldicas favorables con respecto a la secuencia expuesta en la SEQ ID NO:1. Las sustituciones favorables incluyen cualquier cambio que de como resultado una respuesta inmunitaria mejorada frente a Her2/neuFavorable nucleotide substitutions with respect to the sequence set forth in SEQ ID NO: 1. Favorable substitutions include any change that results in an improved immune response against Her2 / neu
expresado por celulas de tumor/carcinoma mamario. Las sustituciones pueden incluir secuencias existentes tales como Her2 de murino (SEQ ID NO:3), Her2 humana (SEQ ID NO:4) o cualquier secuencia de Her2 xenogenica, o un fragmento de las mismas, capaces de desencadenar una respuesta inmunitaria terapeuticamente eficaz en un animal diana contra un carcinoma mamario asociado a Her2.expressed by tumor cells / breast carcinoma. Substitutions may include existing sequences such as murine Her2 (SEQ ID NO: 3), human Her2 (SEQ ID NO: 4) or any xenogenic Her2 sequence, or a fragment thereof, capable of triggering a therapeutically effective immune response in a target animal against a mammary carcinoma associated with Her2.
55
[0017] En algunas realizaciones, el recuerdo comprende administrar un antlgeno de diferenciacion xenogenico.[0017] In some embodiments, the memory comprises administering a xenogenic differentiation antigen.
[0018] En otras realizaciones, el recuerdo comprende administrar un antlgeno de diferenciacion singenico.[0018] In other embodiments, the memory comprises administering a singen differentiation antigen.
1010
[0019] El antlgeno de diferenciacion xenogenico puede administrarse como un antlgeno de diferenciacion purificado derivado del organismo fuente. Las protelnas pueden purificarse con este fin a partir de lisados celulares usando procedimientos de cromatografla en columna. Las protelnas con este fin pueden purificarse tambien a partir de fuentes recombinantes, tales como clones bacterianos o de levadura o llneas celulares de mamlfero o insecto[0019] The xenogenic differentiation antigen can be administered as a purified differentiation antigen derived from the source organism. The proteins can be purified for this purpose from cell lysates using column chromatography procedures. The proteins for this purpose can also be purified from recombinant sources, such as bacterial or yeast clones or mammalian or insect cell lines
15 que expresan el producto deseado.15 expressing the desired product.
[0020] La administracion del antlgeno de diferenciacion xenogenico puede lograrse por varias vlas. En primer lugar, puede administrarse el antlgeno de diferenciacion xenogenico como parte de una composicion de vacuna que puede incluir uno o mas coadyuvantes tales como alumina, QS21, TITERMAX o sus derivados, coadyuvante de[0020] Administration of the xenogenic differentiation antigen can be accomplished by several routes. First, the xenogenic differentiation antigen can be administered as part of a vaccine composition that may include one or more adjuvants such as alumina, QS21, TITERMAX or its derivatives, adjuvant of
20 Freund incompleto o completo y relacionados y citocinas tales como factor estimulante de colonias de granulocitos- macrofagos, ligando flt-3, interleucina 2, interleucina 4 e interleucina 12 para aumentar la intensidad de la respuesta inmunitaria. La composicion de vacuna puede estar en forma de un antlgeno de diferenciacion xenogenico en una solucion o suspension, o puede introducirse el antlgeno de diferenciacion terapeutico en un portador lipldico tal como un liposoma. Dichas composiciones se administraran generalmente por via subcutanea, intradermica o 25 intramuscular. Las composiciones de vacuna que contienen antlgeno de diferenciacion xenogenico expresado se administran en cantidades que sean eficaces para estimular una respuesta inmunitaria ante al antlgeno de diferenciacion diana en el sujeto. La cantidad preferida para administrar dependera de la especie del sujeto y del antlgeno especlfico, pero puede determinarse mediante pruebas preliminares rutinarias en que se procuran dosis crecientes y se mide la extension de la formacion de anticuerpos o la respuesta de linfocitos T mediante ELISA o 30 pruebas similares. Las respuestas de linfocitos T pueden medirse tambien mediante ensayos inmunitarios celulares tales como citotoxicidad, ensayos de liberation de citocinas y ensayos de proliferation.20 Incomplete or complete and related Freund and cytokines such as granulocyte-macrophage colony stimulating factor, ligand flt-3, interleukin 2, interleukin 4 and interleukin 12 to increase the intensity of the immune response. The vaccine composition may be in the form of a xenogenic differentiation antigen in a solution or suspension, or the therapeutic differentiation antigen may be introduced into a lipid carrier such as a liposome. Such compositions will generally be administered subcutaneously, intradermally or intramuscularly. Vaccine compositions containing expressed xenogenic differentiation antigen are administered in amounts that are effective to stimulate an immune response to the target differentiation antigen in the subject. The preferred amount to be administered will depend on the species of the subject and the specific antigen, but can be determined by routine preliminary tests in which increasing doses are procured and the extent of antibody formation or T-lymphocyte response is measured by ELISA or 30 tests. Similar. T lymphocyte responses can also be measured by cellular immune assays such as cytotoxicity, cytokine release assays and proliferation assays.
[0021] El antlgeno de diferenciacion xenogenico puede introducirse tambien de acuerdo con la invention usando una tecnica de inmunizacion de ADN en que se introduce ADN que codifica el antlgeno en el sujeto de tal[0021] The xenogenic differentiation antigen can also be introduced according to the invention using a DNA immunization technique in which DNA encoding the antigen is introduced into the subject of such
35 modo que el antlgeno de diferenciacion xenogenico se exprese por el sujeto. Se combina ADNc que codifica el antlgeno de diferenciacion con un promotor que sea eficaz para la expresion del pollmero de acido nucleico en celulas de mamlfero. Esto puede lograrse digiriendo el pollmero de acido nucleico con una endonucleasa de restriction y clonandolo en un plasmido que contiene un promotor tal como el promotor de SV40, el promotor de citomegalovirus (CMV) o el promotor del virus de sarcoma de Rous (RSV). Se usa entonces el constructo resultante 40 como vacuna para inmunizacion genetica. El pollmero de acido nucleico podrla clonarse tambien en vectores de plasmido y vlricos que son conocidos por transducir celulas de mamlfero. Estos vectores incluyen vectores retrovlricos, vectores adenovlricos, vectores de virus Vaccinia, vectores de poxvirus y vectores asociados a adenovirus.35 so that the xenogenic differentiation antigen is expressed by the subject. CDNA encoding the differentiation antigen is combined with a promoter that is effective for the expression of the nucleic acid polymer in mammalian cells. This can be achieved by digesting the nucleic acid polymer with a restriction endonuclease and cloning it into a plasmid containing a promoter such as the SV40 promoter, the cytomegalovirus (CMV) promoter or the Rous sarcoma virus (RSV) promoter. The resulting construct 40 is then used as a vaccine for genetic immunization. The nucleic acid polymer could also be cloned into plasmid and viral vectors that are known to transduce mammalian cells. These vectors include retroviral vectors, adenoviral vectors, Vaccinia virus vectors, poxvirus vectors and adenovirus associated vectors.
45 [0022] Los constructos de acido nucleico que contienen el promotor y la region de codification de antlgeno[0022] Nucleic acid constructs containing the promoter and the antigen coding region
pueden administrarse directamente o pueden empaquetarse en liposomas o recubrirse sobre partlculas de oro coloidal antes de la administracion. Las tecnicas para empaquetar vacunas de ADN en liposomas son conocidas en la materia, por ejemplo, en Murray, ed. "Gene Transfer and Expression Protocols" Humana Pres, Clifton, N.J. (1991). De forma similar, se ensenan tecnicas para recubrir ADN desnudo sobre partlculas de oro en Yang, "Gene transfer 50 into mammalian somatic cells in vivo", Crit. Rev. Biotech. 12: 335-356 (1992), y se encuentran tecnicas para la expresion de protelnas usando vectores vlricos en Adolph, K. ed. "Viral Genome Methods" CRC Press, Florida (1996).they can be administered directly or they can be packaged in liposomes or coated on colloidal gold particles before administration. Techniques for packaging DNA vaccines in liposomes are known in the art, for example, in Murray, ed. "Gene Transfer and Expression Protocols" Humana Pres, Clifton, N.J. (1991). Similarly, techniques are taught to coat bare DNA on gold particles in Yang, "Gene transfer 50 into mammalian somatic cells in vivo", Crit. Rev. Biotech. 12: 335-356 (1992), and techniques are found for the expression of proteins using viral vectors in Adolph, K. ed. "Viral Genome Methods" CRC Press, Florida (1996).
[0023] Para inmunizacion genetica, se administran preferiblemente las composiciones de vacuna por via[0023] For genetic immunization, vaccine compositions are preferably administered via
55 intradermica, subcutanea o intramuscular mediante inyeccion o bombardeo de partlculas accionado por gas, y se suministran en una cantidad eficaz para estimular una respuesta inmunitaria en el organismo hospedador. Las composiciones pueden administrarse tambien ex vivo a sangre o celulas derivadas de medula osea (que incluyen APC) usando transfection liposomica, bombardeo de partlculas o infection vlrica (incluyendo tecnicas de cocultivo). Se reintroducen entonces de nuevo las celulas tratadas en el sujeto para inmunizar. Aunque se entendera que la 60 cantidad de material necesaria dependera de la inmunogenicidad de cada constructo individual y no puede predecirse a priori, el proceso de determination de la dosificacion apropiada para cualquier constructo dado es claro. Especlficamente, se administran una serie de dosificaciones de tamano creciente, partiendo de aproximadamenteIntradermal, subcutaneous or intramuscular by injection or bombardment of gas-actuated particles, and are supplied in an amount effective to stimulate an immune response in the host organism. The compositions can also be administered ex vivo to blood or bone marrow derived cells (which include APC) using liposomal transfection, particle bombardment or viral infection (including coculture techniques). The cells treated in the subject are then reintroduced to immunize. Although it will be understood that the amount of material needed will depend on the immunogenicity of each individual construct and cannot be predicted a priori, the process of determining the appropriate dosage for any given construct is clear. Specifically, a series of dosages of increasing size are administered, starting from approximately
0,1 pig, y se observa la respuesta inmunitaria resultante, por ejemplo midiendo el tltulo de anticuerpo usando un ensayo ELISA, detectando la respuesta de CTL usando un ensayo de liberacion de cromo o detectando la respuesta de TH (linfocitos T auxiliares) usando un ensayo de liberacion de citocinas.0.1 pig, and the resulting immune response is observed, for example by measuring the antibody titer using an ELISA assay, detecting the CTL response using a chromium release assay or detecting the TH response (helper T lymphocytes) using a cytokine release assay.
5 [0024] Una vez se rompe la tolerancia mediante la administracion del antlgeno de diferenciacion xenogenico,[0024] Once the tolerance is broken by administration of the xenogenic differentiation antigen,
pueden emplearse tratamientos posteriores con diferenciacion singenica para mantener, y en algunos casos potenciar, la respuesta inmunitaria (vease, Weber, y col., "Tumor immunity and autoimmunity induced by immunization with homologous DNA." J Clin Invest 102 (6):1258 (1998)). Por tanto, en una realizacion de la invencion, se trata en primer lugar el sujeto mediante la administracion de un antlgeno de diferenciacion xenogenicoSubsequent treatments with singenic differentiation can be used to maintain, and in some cases enhance, the immune response (see, Weber, et al., "Tumor immunity and autoimmunity induced by immunization with homologous DNA." J Clin Invest 102 (6): 1258 (1998)). Therefore, in one embodiment of the invention, the subject is first treated by administering a xenogenic differentiation antigen
10 (por ejemplo, durante tres ciclos de tratamiento) y posteriormente mediante la administracion de un antlgeno de diferenciacion singenico (por ejemplo, durante tres ciclos de tratamiento adicionales). Como alternativa a los ciclos de tratamiento que usan diferentes agentes terapeuticos, puede usarse un solo agente terapeutico que contenga tanto antlgenos de diferenciacion xenogenicos como singenicos. Por tanto, puede emplearse por ejemplo una mezcla de vectores rHer2-pING y hHer2-pING, o un solo vector que codifica tanto Her2/neu de rata como humana10 (for example, during three cycles of treatment) and subsequently by administering a singen differentiation antigen (for example, for three additional cycles of treatment). As an alternative to treatment cycles using different therapeutic agents, a single therapeutic agent can be used that contains both xenogenic and singenic differentiation antigens. Therefore, for example, a mixture of rHer2-pING and hHer2-pING vectors, or a single vector encoding both rat and human Her2 / neu vectors can be used
15 bajo el control de un promotor de tal modo que se expresen en un sujeto canino, para el tratamiento de tumor de glandula mamaria en caninos. Hay vectores disponibles comercialmente, por ejemplo en Stratagene y otras companlas, que pueden expresar dos genes independientes. Comunmente, estos vectores usan un sitio de entrada a ribosoma interno, o IRES, entre los dos genes. Este enfoque tiene la ventaja de requerir la aprobacion de solo un unico agente terapeutico.15 under the control of a promoter so that they are expressed in a canine subject, for the treatment of mammary gland tumor in canines. There are commercially available vectors, for example in Stratagene and other companions, which can express two independent genes. Commonly, these vectors use an internal ribosome entry site, or IRES, between the two genes. This approach has the advantage of requiring the approval of only one therapeutic agent.
20twenty
[0025] Se describira ahora la invencion ademas con referencia a los siguientes ejemplos no limitantes.[0025] The invention will now be described further with reference to the following non-limiting examples.
Ejemplo 1- Construccion del plasmido de expresion de Her2/neuExample 1- Construction of the Her2 / neu expression plasmid
25 [0026] Se amplifico por PCR el dominio extracelular de HER2/neu de rata (nucleotidos 17-3799 de la SEQ ID[0026] The extracellular domain of rat HER2 / neu was amplified by PCR (nucleotides 17-3799 of SEQ ID
NO:1) a partir del plasmido pCMVneuNT (Amici y col., 1998) usando los cebadores de codificacion: 5'- CGAAGCTTACCATGGAGCTGGCGGCCTGG-3' (SEQ ID NO:6) e inverso: 5'-NO: 1) from plasmid pCMVneuNT (Amici et al., 1998) using the coding primers: 5'- CGAAGCTTACCATGGAGCTGGCGGCCTGG-3 '(SEQ ID NO: 6) and inverse: 5'-
CGGAATTCTTATGTCACCGGGCTGGC-3' (SEQ ID NO:7). Se clono el fragmento HindIII-EcoRI en pcDNA3.1(+) (Invitrogen, Carlsbad, CA; y FIG. 2). Se ha descrito anteriormente la secuencia original de ADNc de neu de rataCGGAATTCTTATGTCACCGGGCTGGC-3 '(SEQ ID NO: 7). The HindIII-EcoRI fragment was cloned into pcDNA3.1 (+) (Invitrogen, Carlsbad, CA; and FIG. 2). The original rat neu cDNA sequence has been described above.
30 (Bargmann y col., 1986), y se expone en la presente memoria en la SEQ ID NO:1, con la secuencia de codificacion de los nucleotidos 17 a 3799. Se subclono entonces la secuencia de codificacion de HER2/neu de rata en el vector pING (Bergman y col., Clin Cancer Res, 9: 1284-1290, 2003, esqueleto representado en la FIG. 3; mapa representado en la FIG. 3A; y secuencia expuesta en la SEQ ID NO:5), procurando HER2/neu-pING de rata.30 (Bargmann et al., 1986), and is set forth herein in SEQ ID NO: 1, with the coding sequence of nucleotides 17 to 3799. The coding sequence of rat HER2 / neu is then subcloned in the pING vector (Bergman et al., Clin Cancer Res, 9: 1284-1290, 2003, skeleton depicted in FIG. 3; map depicted in FIG. 3A; and sequence set forth in SEQ ID NO: 5), procuring rat HER2 / neu-pING.
35 Ejemplo 2 - Inmunizacion de caninos positivos de tumor de glandula mamaria (MGT) con pING-rHer2Example 2 - Immunization of positive canines of mammary gland tumor (MGT) with pING-rHer2
[0027] En este ensayo, se inscribieron 10 perros con MGT y se inmunizaron con 100 pg de ADN de pING-[0027] In this trial, 10 dogs with MGT were enrolled and immunized with 100 pg of pING- DNA
rHer2 por dosis. Se expone en la Tabla 1 la caracterizacion para estos perros y se expone en la Tabla 2 la estadificacion tumoral.rHer2 per dose. The characterization for these dogs is shown in Table 1 and tumor staging is shown in Table 2.
4040
- Edad (anos) Raza Peso (kg) Age (years) Race Weight (kg)
- MGT 01 MGT 01
- 9 Yorkshire terrier 1,75 9 Yorkshire terrier 1.75
- MGT 02 MGT 02
- 13 Mixta 9,8 13 Mixed 9.8
- MGT 03 MGT 03
- 12 Yorkshire terrier 5 12 Yorkshire terrier 5
- MGT 04 MGT 04
- 7 Lhasa Apso 11 7 Lhasa Apso 11
- MGT 05 MGT 05
- 10 Maltesa 3,35 10 Maltese 3.35
- MGT 06 MGT 06
- 12 Cavalier King Charles Spaniel 9 12 Cavalier King Charles Spaniel 9
- MGT 07 MGT 07
- 8 Pomerania 2,8 8 Pomeranian 2.8
- MGT 08 MGT 08
- 12 Maltesa 3,9 12 Maltese 3.9
- MGT 09 MGT 09
- 13 Pomerania 2,7 13 Pomeranian 2.7
- MGT 10 MGT 10
- 12 Yorkshire terrier 3 12 Yorkshire terrier 3
- Mediana Median
- 12 3,6 12 3.6
Tabla 2. Estadificacion tumoralTable 2. Tumor staging
- Tamano de tumor (cm) Tipo de MGT Etapa Tumor size (cm) Type of MGT Stage
- MGT 01 MGT 01
- 2x2x4 0,2x0,2x0,2 0,2x0,3x0,2 0,1x0,1x0,1 0,5x0,5x0,5 0,2x0,2x0,2 0,5x0,5x0,5 Carcinoma tubulopapilar T3N0M0 2x2x4 0.2x0.2x0.2 0.2x0.3x0.2 0.1x0.1x0.1 0.5x0.5x0.5 0.2x0.2x0.2 0.5x0.5x0.5 T3N0M0 tubulopapillary carcinoma
- MGT 02 MGT 02
- 12x10x8 5x3x1,5 1x1x1 1x1x0,5 0,5x0,1x0,1 Carcinoma rico en llpidos T3N0M0 12x10x8 5x3x1.5 1x1x1 1x1x0.5 0.5x0.1x0.1 Carcinoma rich in lipids T3N0M0
- MGT 03 MGT 03
- 5,6x4,8x4,6 1,8x1,5x1,2 Carcinoma tubulopapilar con fibroadenoma T3N0M0 5.6x4.8x4.6 1.8x1.5x1.2 Tubulopapillary carcinoma with T3N0M0 fibroadenoma
- MGT 04 MGT 04
- 4,2x5,6x2,5 Carcinoma tubulopapilar T3N0M0 4.2x5.6x2.5 T3N0M0 tubulopapillary carcinoma
- MGT 05 MGT 05
- 1,2x1x0,5 1x1,4x0,5 1x1x0,4 0,5x0,5x0,5 Adenoma simple T1N0M0 1.2x1x0.5 1x1.4x0.5 1x1x0.4 0.5x0.5x0.5 Simple adenoma T1N0M0
- MGT 06 MGT 06
- 10x4x3 Adenoma rico en llpidos con fibroadenoma T3N0M0 10x4x3 Adenoma rich in lipids with T3N0M0 fibroadenoma
- MGT 07 MGT 07
- 1x1x1 0,5x0,5x0,5 Tipo compleio T1N0M0 1x1x1 0.5x0.5x0.5 Complete type T1N0M0
- MGT 08 MGT 08
- 1x1x1 0,5x0,5x0,5 Tipo complejo T1N0M0 1x1x1 0.5x0.5x0.5 Complex type T1N0M0
- MGT 09 MGT 09
- 2,5x2x1 1,5x2x1 Tipo complejo T1N0M0 2.5x2x1 1.5x2x1 Complex type T1N0M0
- MGT 10 MGT 10
- 1x1x1 0,5x0,5x0,5 0,1x0,1x0,1 Carcinoma tubulopapilar T1N0M0 1x1x1 0.5x0.5x0.5 0.1x0.1x0.1 T1N0M0 tubulopapillary carcinoma
5 [0028] Como se indica, este grupo inclula cinco perros en etapa I y cinco en etapa II, que recibieron todos[0028] As indicated, this group inclines five dogs in stage I and five in stage II, which all received
tres dosis de vacuna a intervalos de dos semanas. Se administraron la primera y segunda dosis con el dispositivo transdermico VITAJET™ y la tercera dosis por inyeccion intramuscular simultaneamente con electroporacion. Se inicio la vacunacion despues de la retirada quirurgica del MGT con ovariohisterectomla (OHE) simultanea. Todos los perros eran negativos de metastasis regional en nodulo linfatico y pulmonar. Se calcularon los tiempos de 10 supervivencia libre de enfermedad y global usando el dla de cirugla como el dla 0, con los resultados presentados en la Tabla 3.three doses of vaccine at two week intervals. The first and second doses were administered with the VITAJET ™ transdermal device and the third dose by intramuscular injection simultaneously with electroporation. Vaccination was initiated after the surgical withdrawal of MGT with simultaneous ovariohysterectomy (OHE). All dogs were negative for regional metastatic lymph node and lung. The disease-free and overall survival times were calculated using the day of surgery as day 0, with the results presented in Table 3.
Tabla 3. Tiempo de supervivencia libre de enfermedad y globalTable 3. Disease-free and overall survival time.
- Perro Dog
- Etapa de OMS Supervivencia libre de enfermedad Tiempo de supervivencia global (dfas) Resultado cllnico WHO stage Disease-free survival Overall survival time (days) Clinical outcome
- Recurrencia Recurrence
- Metastasis Metastasis
- MGT 05 MGT 05
- I 703 703 703 Vivo I 703 703 703 Live
- MGT 07 MGT 07
- I 669 669 669 Vivo I 669 669 669 Live
- MGT 08 MGT 08
- I 548 548 548 Vivo I 548 548 548 Live
- MGT 09 MGT 09
- I 536 536 536 Vivo I 536 536 536 Live
- MGT 10 MGT 10
- I 482 482 482 Muerto I 482 482 482 Dead
- Perros de etapa I Stage I Dogs
- 548 548 548 - 548 548 548 -
- MGT 01 MGT 01
- III 779 779 779 Vivo III 779 779 779 Live
- MGT 02 MGT 02
- III 212 182 212 Muerto III 212 182 212 Dead
- MGT 03 MGT 03
- III 762 762 762 Vivo III 762 762 762 Live
- MGT 04 MGT 04
- III 575 381 720 Vivo con met. III 575 381 720 Live with met.
- MGT 06 MGT 06
- III 686 686 686 Vivo III 686 686 686 Live
- Perros de etapa III Stage III dogs
- 686 686 720 686 686 720
- Mediana de todos los perros Medium of all dogs
- 622 609 678 622 609 678
15 [0029] Se identifico un grupo de 19 perros como casos de control historicos. Todos los perros de control15 [0029] A group of 19 dogs were identified as historical control cases. All control dogs
experimentaron la retirada quirurgica de MGT con OHE simultanea y eran negativos de metastasis regional en nodulo linfatico y pulmonar. Este grupo inclula 7 perros en etapa I, 3 en etapa II y 9 en etapa III. Se calcularon los tiempos de supervivencia libre de enfermedad y global para estos perros usando el dla de cirugla como dla 0. Se expone la caracterizacion de estos perros en la Tabla 4 y se expone la estadificacion tumoral para cada perro en lathey experienced the surgical withdrawal of MGT with simultaneous OHE and were negative for regional metastases in lymph and pulmonary nodules. This group includes 7 dogs in stage I, 3 in stage II and 9 in stage III. Disease-free and overall survival times for these dogs were calculated using the day of surgery as day 0. The characterization of these dogs is shown in Table 4 and the tumor staging for each dog in the dog is exposed.
Tabla 5. Se calcularon los tiempos de supervivencia libre de enfermedad y global para el grupo de control y se presentan en las FIG 1A-1C.Table 5. Disease-free and overall survival times for the control group were calculated and presented in FIG 1A-1C.
Tabla 4. Caracterizacion del perro de controlTable 4. Characterization of the control dog
- Numero de caso Edad (anos) Raza Peso (kg) Case number Age (years) Race Weight (kg)
- 1 one
- 9403460 7 Mixta 1,75 9403460 7 Mixed 1.75
- 2 2
- 9404023 14 Caniche 2,5 9404023 14 Poodle 2.5
- 3 3
- 9405132 14 Yorkshire 2,3 9405132 14 Yorkshire 2.3
- 4 4
- 9409179 12 Spitz finlandes 6,8 9409179 12 Finnish Spitz 6.8
- 5 5
- 9409043 14 Caniche 3,2 9409043 14 Poodle 3.2
- 6 6
- 9500057 9 Lhasa Apso 6,5 9500057 9 Lhasa Apso 6.5
- 7 7
- 9500890 14 Maltesa 6 9500890 14 Maltese 6
- 8 8
- 9500959 15 Cocker 14 9500959 15 Cocker 14
- 9 9
- 923543 11 Husky siberiano 16 923543 11 Siberian Husky 16
- 10 10
- 9405082 13 Caniche 3,9 9405082 13 Poodle 3.9
- 11 eleven
- 9505202 9 Mixta 12 9505202 9 Mixed 12
- 12 12
- 9600998 10 Maltes 4,6 9600998 10 Maltes 4.6
- 13 13
- 9700451 13 Maltes 2,7 9700451 13 Maltes 2.7
- 14 14
- 892285 12 Yorkshire 1,6 892285 12 Yorkshire 1.6
- 15 fifteen
- 9502927 14 Maltes 3,2 9502927 14 Maltes 3.2
- 16 16
- 9405356 10 Cocker 12 9405356 10 Cocker 12
- 17 17
- 9409104 11 Maltes 3,8 9409104 11 Maltes 3.8
- 18 18
- 9503957 6 Schnauzer miniatura 4 9503957 6 Miniature Schnauzer 4
- 19 19
- 9404023 14 Caniche 3 9404023 14 Poodle 3
- Mediana 12 3,9 Medium 12 3.9
55
Tabla 5. Estadificacion tumoral para perros de controlTable 5. Tumor staging for control dogs
- N° cllnico Tamano tumoral Tipo de MGT Etapa Cnnico Tumor size Type of MGT Stage
- 1 one
- 9403460 6x6x7 Carcinoma compleio T3N0M0 9403460 6x6x7 Complementary carcinoma T3N0M0
- 2 2
- 9404023 3x3x3 Carcinoma espinocelular T2N0M0 9404023 3x3x3 Spinocellular carcinoma T2N0M0
- 3 3
- 9405132 7x4x7 2x2x2 0,3x0,2x0,2 0,5x0,5x0,5 Carcinoma simple o compleio T3N0M0 9405132 7x4x7 2x2x2 0.3x0.2x0.2 0.5x0.5x0.5 Simple or complete carcinoma T3N0M0
- 4 4
- 9409179 13x12x12 6x7x7 1x1x1 Carcinoma simple con carcinoma espinocelular T3N0M0 9409179 13x12x12 6x7x7 1x1x1 Simple carcinoma with T3N0M0 squamous cell carcinoma
- 5 5
- 9409043 3,5x2.x1 3x1,5x1 Carcinoma tubulopapilar T2N0M0 9409043 3.5x2.x1 3x1.5x1 T2N0M0 tubulopapillary carcinoma
- 6 6
- 9500057 3x2x2 2x1x1 Carcinoma tubulopapilar T2N0M0 9500057 3x2x2 2x1x1 T2N0M0 tubulopapillary carcinoma
- 7 7
- 9500890 8x3x1 Carcinoma simple T3N0M0 9500890 8x3x1 Simple carcinoma T3N0M0
- 8 8
- 9500959 8x3x2 2x1x0,5 Adenocarcinoma T3N0M0 9500959 8x3x2 2x1x0.5 T3N0M0 adenocarcinoma
- 9 9
- 923543 5x5x4 0,2x0,2x0,2 Carcinoma simple T3N0M0 923543 5x5x4 0.2x0.2x0.2 Simple Carcinoma T3N0M0
- 10 10
- 9405082 5x4x3,5 3x3,5x3 Carcinoma simple T3N0M0 9405082 5x4x3.5 3x3.5x3 Simple carcinoma T3N0M0
- 11 eleven
- 9505202 0,3x0,3x0,3 1x1x0,5 0,4x0,4x0,4 Carcinoma tubulopapilar T1N0M0 9505202 0.3x0.3x0.3 1x1x0.5 0.4x0.4x0.4 T1N0M0 tubulopapillary carcinoma
- 12 12
- 9600998 0,5x0,5x0,4 1x0,5x0,5 Carcinoma T1N0M0 9600998 0.5x0.5x0.4 1x0.5x0.5 Carcinoma T1N0M0
- 13 13
- 9700451 1x1x1 1x1x1 Carcinoma tubulopapilar T1N0M0 9700451 1x1x1 1x1x1 T1N0M0 tubulopapillary carcinoma
- 14 14
- 892285 0,5x0,8x0,3 1x0,8x0,5 Carcinoma en tumor mixto benigno T1N0M0 892285 0.5x0.8x0.3 1x0.8x0.5 Carcinoma in benign mixed tumor T1N0M0
- 15 fifteen
- 9502927 5x4x4 0,5x0,5x0,5 Carcinoma en tumor mixto benigno T3N0M0 9502927 5x4x4 0.5x0.5x0.5 Carcinoma in benign mixed tumor T3N0M0
- 16 16
- 9405356 10x3x1,5 Carcinoma tubulopapilar T3N0M0 9405356 10x3x1.5 T3N0M0 tubulopapillary carcinoma
- 17 17
- 9409104 1x1x1 0,5x0,5x0,5 2x2x2 Adenocarcinoma T1N0M0 9409104 1x1x1 0.5x0.5x0.5 2x2x2 Adenocarcinoma T1N0M0
- 18 18
- 9503957 2x2x2 0,3x0,3x0,3 Adenocarcinoma, tipo compleio T1N0M0 9503957 2x2x2 0.3x0.3x0.3 Adenocarcinoma, complete type T1N0M0
- 19 19
- 9404023 2x2x1 Adenocarcinoma T1N0M0 9404023 2x2x1 Adenocarcinoma T1N0M0
[0030] Philibert y col. (2003) revisaron las estadlsticas de supervivencia para 97 perros con MGT y resenaron[0030] Philibert et al. (2003) reviewed survival statistics for 97 dogs with MGT and reviewed
que los tiempos de supervivencia medianos para 41 perros con MGT menor de 3 cm de diametro eran de 22 mesesthat the median survival times for 41 dogs with MGT less than 3 cm in diameter were 22 months
10 (~666 dlas) frente a 14 meses (~424 dlas) para 56 perros con MGT mayor de 3 cm de diametro. En ausencia de afectacion o metastasis del nodulo linfatico, un tamano tumoral menor de 3 cm se correlaciona con enfermedad de etapa I y mayor de 3 cm se correlaciona con un estado patologico de etapa II o mayor. No encontraron diferencia en el tiempo de supervivencia para los perros en las etapas II, III o IV.10 (~ 666 days) versus 14 months (~ 424 days) for 56 dogs with MGT larger than 3 cm in diameter. In the absence of lymph node involvement or metastasis, a tumor size smaller than 3 cm correlates with stage I disease and greater than 3 cm correlates with a stage II or greater pathological state. They found no difference in survival time for dogs in stages II, III or IV.
15 [0031] El tiempo de supervivencia global mediano para todos los perros tratados con vacuna de pING-rHer2[0031] The median overall survival time for all dogs treated with pING-rHer2 vaccine
es de 678 dlas. Esto era significativamente mayor en comparacion con los datos historicos de los 19 perros proporcionados por NTU, que indican un tiempo de supervivencia global mediano de 300 dlas, y con los datos publicados por Philibert y col. (2003), que indican 424 dlas de tiempo de supervivencia global para los perros conIt is 678 days. This was significantly higher compared to the historical data of the 19 dogs provided by NTU, which indicate a median overall survival time of 300 days, and with data published by Philibert et al. (2003), which indicate 424 days of overall survival time for dogs with
MGT de etapa II o mayor.Stage II MGT or greater.
[0032] La vacuna de ADN de pING-rHer2 se orientara a perros y gatos con tumores que se muestra que[0032] The pING-rHer2 DNA vaccine will target dogs and cats with tumors that are shown to
sobreexpresan el antlgeno Her2 basandose en analisis del tejido tumoral, usando ensayos de expresion en tejido de 5 Her2 existentes. La vacuna se administrara usando el dispositivo transdermico Vetjet™ para suministrar 100 pg de ADN al muslo medial de perros o al muslo lateral de gatos, a intervalos de dos semanas para cuatro dosis. Los perros y gatos que sobrevivan recibiran una dosis de recuerdo cada 6 meses.overexpress Her2 antigen based on tumor tissue analysis, using existing 5 Her2 tissue expression assays. The vaccine will be administered using the Vetjet ™ transdermal device to deliver 100 pg of DNA to the medial thigh of dogs or to the lateral thigh of cats, at two-week intervals for four doses. Surviving dogs and cats will receive a souvenir dose every 6 months.
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